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Quality of Malaria Treatment Provided under ‘Better Health Together’ Project in Ethnic Communities of Myanmar: How Are We Performing?

Malaria accounted for 18% of all deaths in the ethnic communities of Myanmar. In this cross-sectional study, we assessed the extent of and factors associated with receipt of quality malaria treatment services provided by integrated community malaria volunteer (ICMV) under six ethnic health organisat...

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Autores principales: Minn, Phyo Wai, Shewade, Hemant Deepak, Kyaw, Nang Thu Thu, Phyo, Khaing Hnin, Linn, Nay Yi Yi, Min, Myat Sandi, Aung, Yan Naing, Myint, Zaw Toe, Thi, Aung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6958459/
https://www.ncbi.nlm.nih.gov/pubmed/31817078
http://dx.doi.org/10.3390/tropicalmed4040140
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author Minn, Phyo Wai
Shewade, Hemant Deepak
Kyaw, Nang Thu Thu
Phyo, Khaing Hnin
Linn, Nay Yi Yi
Min, Myat Sandi
Aung, Yan Naing
Myint, Zaw Toe
Thi, Aung
author_facet Minn, Phyo Wai
Shewade, Hemant Deepak
Kyaw, Nang Thu Thu
Phyo, Khaing Hnin
Linn, Nay Yi Yi
Min, Myat Sandi
Aung, Yan Naing
Myint, Zaw Toe
Thi, Aung
author_sort Minn, Phyo Wai
collection PubMed
description Malaria accounted for 18% of all deaths in the ethnic communities of Myanmar. In this cross-sectional study, we assessed the extent of and factors associated with receipt of quality malaria treatment services provided by integrated community malaria volunteer (ICMV) under six ethnic health organisations. Data of people with malaria diagnosed by rapid diagnostic tests during 2017–2018 were extracted from the ICMV registers. Documentation of prescribing a complete course of drugs was used to assess quality. Of 2881 people with malaria, village-based ICMV diagnosed and treated 2279 (79%) people. Overall, 2726 (95%) people received correct drugs in the correct dose and adequate duration appropriate to malaria species, age and pregnancy status while 1285 (45%) people received ‘correct and timely (within 24 h of fever)’ treatment. Children under five years, those with severe malaria, mixed infection and falciparum malaria were less likely to receive the correct treatment. When compared to health posts, village-based ICMVs and mobile teams performed better in providing correct treatment and mobile teams in providing ‘correct and timely’ treatment. This calls for ensuring the early presentation of people to health workers within 24 h of undifferentiated fever through health promotion initiatives. Future studies should assess adherence to medication and clinical improvement.
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spelling pubmed-69584592020-01-23 Quality of Malaria Treatment Provided under ‘Better Health Together’ Project in Ethnic Communities of Myanmar: How Are We Performing? Minn, Phyo Wai Shewade, Hemant Deepak Kyaw, Nang Thu Thu Phyo, Khaing Hnin Linn, Nay Yi Yi Min, Myat Sandi Aung, Yan Naing Myint, Zaw Toe Thi, Aung Trop Med Infect Dis Article Malaria accounted for 18% of all deaths in the ethnic communities of Myanmar. In this cross-sectional study, we assessed the extent of and factors associated with receipt of quality malaria treatment services provided by integrated community malaria volunteer (ICMV) under six ethnic health organisations. Data of people with malaria diagnosed by rapid diagnostic tests during 2017–2018 were extracted from the ICMV registers. Documentation of prescribing a complete course of drugs was used to assess quality. Of 2881 people with malaria, village-based ICMV diagnosed and treated 2279 (79%) people. Overall, 2726 (95%) people received correct drugs in the correct dose and adequate duration appropriate to malaria species, age and pregnancy status while 1285 (45%) people received ‘correct and timely (within 24 h of fever)’ treatment. Children under five years, those with severe malaria, mixed infection and falciparum malaria were less likely to receive the correct treatment. When compared to health posts, village-based ICMVs and mobile teams performed better in providing correct treatment and mobile teams in providing ‘correct and timely’ treatment. This calls for ensuring the early presentation of people to health workers within 24 h of undifferentiated fever through health promotion initiatives. Future studies should assess adherence to medication and clinical improvement. MDPI 2019-12-04 /pmc/articles/PMC6958459/ /pubmed/31817078 http://dx.doi.org/10.3390/tropicalmed4040140 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Minn, Phyo Wai
Shewade, Hemant Deepak
Kyaw, Nang Thu Thu
Phyo, Khaing Hnin
Linn, Nay Yi Yi
Min, Myat Sandi
Aung, Yan Naing
Myint, Zaw Toe
Thi, Aung
Quality of Malaria Treatment Provided under ‘Better Health Together’ Project in Ethnic Communities of Myanmar: How Are We Performing?
title Quality of Malaria Treatment Provided under ‘Better Health Together’ Project in Ethnic Communities of Myanmar: How Are We Performing?
title_full Quality of Malaria Treatment Provided under ‘Better Health Together’ Project in Ethnic Communities of Myanmar: How Are We Performing?
title_fullStr Quality of Malaria Treatment Provided under ‘Better Health Together’ Project in Ethnic Communities of Myanmar: How Are We Performing?
title_full_unstemmed Quality of Malaria Treatment Provided under ‘Better Health Together’ Project in Ethnic Communities of Myanmar: How Are We Performing?
title_short Quality of Malaria Treatment Provided under ‘Better Health Together’ Project in Ethnic Communities of Myanmar: How Are We Performing?
title_sort quality of malaria treatment provided under ‘better health together’ project in ethnic communities of myanmar: how are we performing?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6958459/
https://www.ncbi.nlm.nih.gov/pubmed/31817078
http://dx.doi.org/10.3390/tropicalmed4040140
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